Basic Information
| Provider Information | |||||||||
| NPI: | 1750333746 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH PINELLAS SURGERY CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2323 CURLEW RD | ||||||||
| Address2: | BUILDING 5 | ||||||||
| City: | DUNDEIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346989307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277718333 | ||||||||
| FaxNumber: | 7277718844 | ||||||||
| Practice Location | |||||||||
| Address1: | 2323 CURLEW RD | ||||||||
| Address2: | BUILDING 5 | ||||||||
| City: | DUNDEIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346989307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277718333 | ||||||||
| FaxNumber: | 7277718844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 11/28/2007 | ||||||||
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| AuthorizedOfficialLastName: | WEIGLE | ||||||||
| AuthorizedOfficialFirstName: | DEBBIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR CFO | ||||||||
| AuthorizedOfficialTelephone: | 7277718333 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
ID Information
| ID | Type | State | Issuer | Description | 6800333 | 01 | UNITED HEALTHCARE | OTHER | 075258400 | 05 | FL | MEDICAID | 200768 | 01 | WELLCARE | OTHER | 94944591 | 01 | CIGNA | OTHER | 7494346 | 01 | AETNA | OTHER | 69Y | 01 | BCBS | OTHER |